Active NPI
Georgia Medical United LLC
- Vascular Surgery Physician
- Atlanta, GA
National Provider Identifier
1871473801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- GEORGIA MEDICAL UNITED LLC
- Practice address
- 99 Krog St NE Ste 301
Atlanta, GA 30307-2677 - Phone
- (800) 991-6117
- Fax
- (888) 812-8191
- NPI assigned
- Sep 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Helen Rivera
- Title
- VP of Revenue Cycle Management
- Phone
- (813) 280-0705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
99 Krog St NE Ste 301
Atlanta, GA 30307-2677
Mailing address
99 Krog St NE Ste 301
Atlanta, GA 30307-2677
Phone (800) 991-6117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251205001521 | GA | Part B Supplier - Clinic/Group Practice | 3375036569 | Practice locations: Douglasville, GA; Atlanta, GA; Newnan, GA |
National Provider Directory
National Provider DirectoryLocations
99 Krog St NE
Ste 301
Atlanta, GA 30307
6880 Douglas Blvd
Ste E
Douglasville, GA 30135
354 Newnan Crossing Byp
Ste 210
Newnan, GA 30265
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Newnan, GA
- NPI 1639148703
-
- Vascular Surgery Physician
- Rego Park, NY
- NPI 1992754063
Vascular Surgery
-
- Surgery Physician
- Palm Beach Gardens, FL
- NPI 1679766943
-
- Internal Medicine Physician
- Loxahatchee, FL
- NPI 1356574099
-
- Vascular Surgery Physician
- Centennial, CO
- NPI 1528129715
Vascular Surgery
-
- Surgery Physician
- Newnan, GA
- NPI 1700846789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1871473801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 KROG ST NE STE 301",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303072677",
"telephone_number": "800-991-6117",
"fax_number": "888-812-8191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 KROG ST NE STE 301",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303072677",
"telephone_number": "800-991-6117",
"fax_number": "888-812-8191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGIA MEDICAL UNITED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-02",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "HELEN",
"authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
"authorized_official_telephone_number": "813-280-0705"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Georgia Luna Care Physical Therapy LLC
- Georgia Maternal Fetal Medicine
- Georgia Medical EMS LP
- Georgia Medical Provider Financial Corporation
- Georgia Medical Specialists PC
- Georgia Micro Surgery
- Georgia Mso LLC
- Georgia Neuropsychology, LLC
- Georgia Obstetrics & Gynecology 2 LLC
- Georgia Ophthalmology Referral Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.